Stephanie McDonough, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017524 Issued in GA

Practice address

1125 Forrest Ave Ste 101
Dover, DE 19904-3483

Phone

(302) 735-4900

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, GA, MD3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Konlian,O'Neill and Associates, P.a.Group PAC ID 0648408997, 43 clinicians

Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anmed Health

  • Family Medicine Physician
  • Hartwell, GA
  • NPI 1588611909
  Medicare reassignment Care Compare group
• Konlian,O'Neill & Associates, P.a.

  • Rehabilitation Practitioner
  • Salisbury, MD
  • NPI 1083647515
  Medicare reassignment Care Compare group
• Dynamic Therapy Services LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093
  Medicare reassignment NPD
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1659302966
  Medicare reassignment NPD
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051

  Physical Therapist

  NPD
• Anmed Health

  • Physical Therapist
  • Hartwell, GA
  • NPI 1114365251
  NPD
• Anmed Health

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1255137832
  NPD
• Ability Health Services and Rehabilitation LP

  • Rehabilitation Clinic/Center
  • Largo, FL
  • NPI 1376089649
  NPD (past)
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1427089853
  NPD (past)
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • Stockbridge, GA
  • NPI 1518998970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1710655329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROAD ST # 203",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613006",
            "telephone_number": "407-880-8438",
            "fax_number": "407-880-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 FORREST AVE STE 101",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043483",
            "telephone_number": "302-735-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327123654",
            "country_code": "US",
            "telephone_number": "407-880-8438",
            "fax_number": "407-880-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37476",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014871",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Marie-Nicole McCollin, CNS, LDN, RYT
• Rita McCommons
• Andrea Persephone McCracken, FNP-C
• Meghan Ann McCurnin
• Deirdre McCutcheon, R.D.H., B.S.
• Robert E McElligott, CPO
• Margaret Mary McEvilly, PHARM.D.,CDE
• Marianne Millis McEvoy Abrams, MSN,CNM
• Ashley McGee, LCSW
• Margaret McGirr-Crowley, CRNP

• Physical Therapist in Dover, DE
• Providers in Dover, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.